Individual
DR. RAFAEL ROBERTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME58240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064063800
—
FL
01
—
1004922
CAREPLUS
FL
01
—
11453
BCBS
FL
01
—
1249241
WELLCARE
FL
01
—
4200237
AETNA
FL
01
—
7851
DIMENSION HEALTH
FL
01
—
P01606329
RR MEDICARE
FL
Enumeration date
01/06/2006
Last updated
11/15/2016
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